Company Information Change Request

Please complete the questions below to have your company information changed in your RFMS database. After submitting, please send your System Information Summary to orders@rfms.com. This can be found within Order Entry, Utilities tab, System Information, screenshot or email that page. If you have any questions, please feel free to contact your Client Success Manager or email sales@rfms.com.

Full Company Name(Required)

Name to appear on Menus & Reports (if different from above)

RFMS Customer #

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Fax

Owner's Name(Required)

Main RFMS User's Name(Required)

Reason for Change(Required)

Are you hosted by Isogent?(Required)

Yes

Your Name(Required)

First Last

Email Address(Required)

Signature(Required)

By signing you authorize RFMS to make the requested changes to your RFMS database.

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